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Individual Registration

ONLINE REGISTRATION HAS CLOSED. USE THIS FORM TO EXPEDITE ON-SITE REGISTRATION!

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* = required field

Business/Facility Name:

Billing First Name:*

Billing Last Name:*

Badge Name (if other than above)

Title:

Telephone:*

Evening: Fax:

Email Address:*

Website:

USIndoor Member:*

Startup:*

Total Registrations:*

Become a USIndoor Member.

2011 Registration Rates	USIndoor Member	Non-Member
After June 10 (on-site)
All Attendees	$395	$550

All Registrants' Badge Names:

IMPORTANT: Identify any existing CAO with "*" to ensure CEU credit.

Additional Programing Rates Conference registration is not a prerequisite for additional programs.		Attendees
Certified Arena Operator Class Wed., 6/15 - Thurs. 6/16, All Day
After June 10 (on-site)	$695
Attendee Name(s):

Facility Bus Tour (note conflict with CAO Class)
Thursday, 6/16, All Day	$
Attendee Name(s):

Poolside BBQ at the Marriott (Sat. Evening, 6/18)
Adults	$
Children	$
Attendee Name(s):

Please indicate your personal specialty if any:

For other:

Total Registration: $

Billing Information:
Address:*
City:*	State/Province:*
Postal Code:*	Country:
NOTE: For on-site registration, click "Print" and present your completed form, along with payment, upon check-in. NO REFUNDS. Thank you.

Features

United States Indoor Sports Association,
1340 N. Great Neck Road, Suite 1272-142 | Virginia Beach, VA 23454-2268
Fax: (509) 357-7096 | Email: pr@usindoor.com
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